CheckUp Health - Saving Black, Asian and Minority Ethnic Lives

黑人，亚洲人和少数民族（BAME）比白人更容易患高血压（HBP）或2型糖尿病（T2 D）。英国约有400万T2 D患者（Diabetes UK，2020）。T2 D在南亚人中的可能性高达6倍，在非洲人/非洲-加勒比人中的可能性高达3倍（同上）。一半的T2 D患者患有HBP，这是3-4倍更有可能发生在非洲/非洲-加勒比血统的黑人比白色人（盐行动，2020）。HBP/T2 D导致的健康问题每年花费NHS 21亿英镑（英国公共卫生，2017年）。每十年，HBP/T2 D监测不良会导致约7，000质量调整的英国生命年的损失（PHE，2017）。这些损失是不可持续的，需要一个解决方案。迫切需要改善HBP/T2 D预防和治疗（南亚健康基金会，2020），以避免BAME死亡，并减少这些疾病对NHS的成本。BAME人群中HBP/T2 D的远程监测解决方案可以解决Covid-19暴露的医疗保健不平等问题;减少需要干预的病例（Kim，2020）;并节省NHS之前花费在疾病监测不良后果上的数百万美元。我们提供了一种替代方案，以取代目前高成本和无效的HBP/T2 D监测方法，这种方法在2019冠状病毒病大流行期间未能满足BAME人群的需求。通过CheckUp，BAME HBP/T2 D患者可以自我监测并远程报告给医疗保健专业人员。CheckUp减少了BAME HBP/T2 D患者所需的全科医生预约，节省了NHS的资金，并通过提供远程监控减少了BAME HBP/T2 D对Covid-19的暴露。

Black, Asian and Minority Ethnic (BAME) people are more likely than Caucasians to have high blood pressure (HBP) or Type2 diabetes (T2D). The UK has ~4 million people with T2D (Diabetes UK, 2020). T2D is up to 6 times more likely in South Asians and 3 times more likely in Africans/Africa-Caribbeans (Ibid). Half of T2D sufferers have HBP, which is 3-4 times more likely to occur in black people of African/Africa-Caribbean descent than white people (Action on Salt, 2020). Health issues resulting from HBP/T2D cost the NHS £2.1bn annually (Public Health England, 2017). Every decade, poor monitoring of HBP/T2D causes the loss of ~7,000 quality adjusted UK life years (PHE, 2017). These losses are unsustainable and need a solution.Improvements in HBP/T2D prevention and treatment are desperately needed (South Asian Health Foundation, 2020) to avoid BAME deaths and reduce the cost of these diseases to the NHS. A remote monitoring solution for HBP/T2D in the BAME population could address healthcare inequalities exposed by Covid-19; reduce cases requiring intervention (Kim, 2020); and save the NHS millions previously spent on the fallout of poor disease monitoring. Critically, it could save BAME lives.We offer an alternative solution to the current, high-cost and ineffective approach to HBP/T2D monitoring that is failing the BAME population during the Covid-19 pandemic. Through CheckUp, BAME HBP/T2D patients self-monitor and remotely report to healthcare professionals. CheckUp reduces required GP appointments for BAME HBP/T2D patients, saving the NHS money and reducing the exposure of BAME HBP/T2D to Covid-19 by providing remote monitoring.